Active NPIIndividual provider

Ms. Melissa R Connolly, PHYSICIAN ASSISTANT

Physician Assistant in Oradell, New Jersey

NPI Number1669671327
Practice location
680 Kinderkamack RD Ste 200, Oradell, NJ 07649-1602
Fax
201-666-2262
Last updated
November 15, 2024

Melissa R Connolly is a Physician Assistant based in Oradell, NJ. Melissa R Connolly practices in Oradell, NJ and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Melissa R Connolly is 1669671327 and holds a License No. 25mp00179100 (NJ). The current practice location address for Melissa R Connolly is 680 Kinderkamack RD Ste 200, Oradell, NJ 07649-1602 and can be reached out via phone at 201-666-4200 and via fax at 201-666-2262.

Provider Profile Details

NPI Number
1669671327
Provider Name
Melissa R Connolly
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
680 Kinderkamack RD Ste 200, Oradell, NJ 07649-1602
Phone Number
201-666-4200
Fax Number
201-666-2262
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
July 13, 2007
Last Update Date
November 15, 2024
Certification Date
November 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
680 Kinderkamack RD Ste 200
Oradell, NJ 07649-1602
Zip
07649-1602
Phone Number
201-666-4200
Fax Number
201-666-2262
Oradell, NJ 07649Get directions →

Provider Business Mailing Address Details

Address
680 Kinderkamack RD Ste 200
Oradell, NJ 07649-1602
City
Oradell
State
NJ
Zip
07649-1602
Phone Number
201-666-4200
Fax Number
201-666-2262

License Information

License Number
25mp00179100
License State
NJ
Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Melissa R Connolly, PHYSICIAN ASSISTANT?

The NPI number of Ms. Melissa R Connolly, PHYSICIAN ASSISTANT is 1669671327. It was assigned on July 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Melissa R Connolly, PHYSICIAN ASSISTANT?

Ms. Melissa R Connolly, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25mp00179100.

Where does Ms. Melissa R Connolly, PHYSICIAN ASSISTANT practice?

The practice location is 680 Kinderkamack RD Ste 200, Oradell, NJ 07649-1602. The office can be reached at 201-666-4200 (phone) or 201-666-2262 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669671327 directly on the NPPES registry website.

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